Paragonimiasis

Blair, David

doi:10.1007/978-3-030-18616-6_5

Cited by 38 publications

(53 citation statements)

References 273 publications

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“…Paragonimiasis is widely distributed. Blair et al have shown that the disease is widely distributed in many countries and regions in Asia, Africa, and the Americas, and it is estimated that 292.8 million people in the world are at risk of paragonimiasis [1]. Humans become infected with Paragonimus mainly through the Fig.…”

Section: Discussionmentioning

confidence: 99%

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Analysis of the misdiagnosis of 8 adult cases of paragonimiasis with lung masses as the main manifestation in Xishuangbanna, Yunnan

Shu

Yang²,

et al. 2021

J Cardiothorac Surg

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Objective To summarize the clinical characteristics of adult cases of paragonimiasis with lung masses as the main manifestation in Xishuangbanna, Yunnan Province, analyze the causes of misdiagnosis, and improve the levels of clinical diagnosis and treatment. Method We conducted a retrospective analysis of the clinical data and diagnosis and treatment of 8 adult cases of paragonimiasis with lung masses as the main manifestation that were diagnosed in the Oncology Department of People’s hospital of Xishuangbanna Dai Autonomous Prefecture from July 2014 to July 2019. Result All 8 patients were from epidemic paragonimiasis areas and had a confirmed history of consuming uncooked freshwater crabs. The clinical manifestations were mainly fever, dry cough, and chest pain. The disease durations were long, and peripheral blood eosinophil counts were elevated. The cases had been misdiagnosed as pneumonia or pulmonary tuberculosis. After years of anti-inflammatory or anti-tuberculosis treatment, the symptoms had not improved significantly. Patients eventually sought treatment from the oncology department for hemoptysis. Chest computed tomography showed patchy consolidation in the lungs, with nodules, lung masses, and enlarged mediastinal lymph nodes. Conclusion Paragonimiasis is a food-borne parasitic disease. Early clinical manifestations and auxiliary examination results are nonspecific. The parasite most often invades the lungs, and the resulting disease is often misdiagnosed as pneumonia, pulmonary tuberculosis, or lung cancer (Acta Trop 199: 05074, 2019). To avoid misdiagnosis, clinicians should inquire, in detail, about residence history and history of unclean food and exposure to infected water and make an early diagnosis based on the inquired information and imaging examination results. For patients who have been diagnosed with pneumonia or pulmonary tuberculosis and whose symptoms do not improve significantly after anti-inflammatory or anti-tuberculosis treatments, their epidemiological history should be traced to further conduct differential diagnosis and avoid misdiagnosis.

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Section: Discussionmentioning

confidence: 99%

“…Paragonimiasis is a systemic chronic parasitic disease caused by Paragonimus infection. It is a natural focal disease and one of the food-borne parasitic diseases that cause great harm to both humans and animals [1]. The onset of the disease is insidious, and there is currently a lack of clinically specific diagnostic methods [2].…”

Section: Introductionmentioning

confidence: 99%

Analysis of the misdiagnosis of 8 adult cases of paragonimiasis with lung masses as the main manifestation in Xishuangbanna, Yunnan

Shu

Yang²,

et al. 2021

J Cardiothorac Surg

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“…Additionally, they can pass through the diaphragm into the thoracic cavity and reach the lung parenchyma where they mature into adult flukes (7–12 mm in length). These adult flukes are found encapsulated in the lungs [ 1 , 11 ]. The metacercariae can reach and develop ectopic lesions anywhere in the body through this route of migration from the intestine to the lungs [ 11 ].…”

Section: Discussionmentioning

confidence: 99%

“…These adult flukes are found encapsulated in the lungs [ 1 , 11 ]. The metacercariae can reach and develop ectopic lesions anywhere in the body through this route of migration from the intestine to the lungs [ 11 ]. On rare occasions, the adult flukes may be found encapsulated in the brain or peritoneal cavity [ 8 , 22 ].…”

Section: Discussionmentioning

confidence: 99%

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Laparoscopic excision for ectopic peritoneal paragonimiasis mimicking a gastric duplication cyst: A case report

Roh

Jung

2021

Annals of Medicine &Amp; Surgery

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Introduction Paragonimiasis, lung fluke disease caused by infection with Paragonimus species, is a food-borne parasitic zoonosis. The overriding symptoms of Paragonimus westermani infection include chronic cough, shortness of breath, and pleuritic pain. Extrapulmonary paragonimiasis caused by aberrant parasitic migration is known to occur in a variety of sites such as the brain, abdominal wall, and intraperitoneal cavity. Ectopic paragonimiasis is an uncommon disease that presents with a few clinical manifestations, which makes it difficult to diagnose and treat. Case presentation A 47-year-old man with an unremarkable medical and surgical history presented with a peritoneal lesion that was discovered incidentally on abdominal computed tomography during routine health screening. The patient did not exhibit any associated symptoms such as abdominal pain. The radiologic diagnosis was a gastric duplication cyst and we performed laparoscopic excision of the peritoneal mass. Histopathological examination revealed paragonimiasis, and the result of the skin test for paragonimiasis was positive. The patient was treated with praziquantel. Clinical discussion The diagnosis of ectopic peritoneal paragonimiasis remains challenging due to inexperience, misdiagnosis, and its rarity. Clinicians should bear in mind that an intra-abdominal mass may be related to a parasitic infection. The detection of the ova of Paragonimus parasites in sputum and biopsy specimens may be difficult due to an insufficient amount. Conclusion Clinicians need to thoroughly take the patient's history and clinically suspect parasitic infections. Laparoscopic resection of this rare mass is safe, feasible, and allows for rapid recovery.

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Parasitic Diseases

Miller,

Siller,

Tyring

2024

Rook's Textbook of Dermatology

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Parasitic disease, commonly referred to as parasitosis, is an infectious process caused by a parasitic organism that thrives at the expense of its host. Human parasites can be classified into three main categories: protozoa, helminths, and ectoparasites (Chapter 34). Protozoans are small single‐celled organisms, such as the amoeba. Helminths on the other hand are larger multicellular organisms with internal organs and include the roundworm. Parasitic infections are well known for causing a significant burden of disease amongst the inhabitants of the tropic and subtropic regions of the globe and can be transmitted in several ways. The commonest methods of spread include contaminated water, soil and blood, or through transmission via infected insects that act as a vector or carrier of the disease. In this chapter we explore the common causes of cutaneous parasitic disease worldwide including their clinical signs, pathophysiology and therapeutic options.

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Paragonimiasis

Cited by 38 publications

References 273 publications

Analysis of the misdiagnosis of 8 adult cases of paragonimiasis with lung masses as the main manifestation in Xishuangbanna, Yunnan

Analysis of the misdiagnosis of 8 adult cases of paragonimiasis with lung masses as the main manifestation in Xishuangbanna, Yunnan

Laparoscopic excision for ectopic peritoneal paragonimiasis mimicking a gastric duplication cyst: A case report

Parasitic Diseases

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